ip ps3

Resources

☐ Little or no monies, supplies or change in resources

☐ Requires moderate resources

☐ Requires significant resources and/or additional FTEs

Multidisciplinary

☐ One (1) discipline involved/impacted

☐ Two (2) – Three (3) disciplines involved/impacted

☐ Four (4) or more disciplines involved/impacted

Complexity

☐ Little complexity

☐ Moderate complexity

☐ Very complex

Technology Involvement

☐ No technology changes

☐ IT consult needed

☐ IT resources assigned

Approvals

☐ None needed

☐ Approval by immediate

supervisor

☐ Executive-level approval

Potential Risk Level

☐ Minimal impact on

customer

☐ Moderate impact on

customer

☐ Significant impact on

customer

Staff Commitment

☐ Involvement of

2 3 people for

solution

☐ Small team needed

to generate solutions

☐ Requires large team of

multiple departments for

improvement

Communication & Education

☐ Simple communication

plan or unit-based education

only

☐ Moderate communication

plan; requires education

across departments

☐ Complex communication/

education plan with

various media

Metrics

☐ Requires at least a one-time

follow-up check

☐ Improvement will be

tracked

☐ Baseline and ongoing

tracking of data

If majority of checks lie in this area:

Final Decision

☐ No charter needed

☐ Complete a mini or basic charter

☐ Complete a full project charter